Glenn手术被用作患有左心发育不全综合征(HLHS)的儿童的姑息治疗,其目的是部分地改变全身静脉回流的方向。针对7个月大的婴儿提出了个性化的护理计划,入住儿科重症监护病房(PICU),在接受Glenn手术后.并显示了她在入学期间的演变。马乔里·戈登的11种功能健康模式用于护理评估,在改变的模式中突出显示,营养代谢和活动运动,由于它们对手术引起的血液动力学变化的影响。由于它们与此类手术中最常见的术后并发症有关,根据NANDA-I分类法优先考虑了8种诊断:感染风险,多余的液体体积,有休克的风险,出血的风险,心输出量下降的风险,气体交换受损,无效的气道清除和无效的脑组织灌注的风险。在他们每个人,预期患者预后和护理干预,是使用NOC和NIC分类法选择的,分别。结果标准分数显示,从入院后7天,在开始时选择的诊断中,只有3例保持活动状态.护理计划的制定和重新评估使得对患者术后进展进行有效监测和规范护理成为可能,确保安全和高质量的医疗保健。现有参考书目中缺乏类似的病例报告使我们无法比较行动,因此,有必要公开这些科学文章,以保证最佳的循证实践。
Glenn surgery is used as a palliative procedure in children with Hypoplastic Left Heart Syndrome (HLHS) and its objective is to partially redirect the systemic venous return. An individualized care plan is presented for a 7-month-old infant, admitted to the Pediatric Intensive Care Unit (PICU), after undergoing Glenn procedure. And is shown her evolution during admission. Marjorie Gordon\'s 11 functional health patterns are used for the nursing assessment, highlighting among the altered patterns, the nutritional-metabolic and the activity-exercise, due to their implication in hemodynamic changes derived from the surgery. Due to their association with the most common postoperative complications in this type of surgery, 8 diagnoses were prioritised according to NANDA-I taxonomy: risk for infection, excess fluid volume, risk for shock, risk for bleeding, risk for decreased cardiac output, impaired gas exchange, ineffective airway clearance and risk for ineffective cerebral tissue perfusion. In each of them, expected patient outcomes and nursing interventions, were selected using the NOC and NIC taxonomies, respectively. Outcome criteria scores showed a favourable evolution after 7 days from admission, only 3 of the diagnoses selected at the beginning remain active. The development and reassessment of the nursing care plan has made it possible to make an effective monitoring of patient\'s postoperative evolution and to standardize nursing care, ensuring safe and quality health care. The lack of similar
case reports in available bibliography has prevented us from comparing actions, therefore it has been necessary to disclose these scientific articles to guarantee best evidence-based practice.